| Rosecrance | |
|
2704 N Main St Rockford IL 61103-3112 | |
| (815) 968-9300 | |
| Not Available |
| Full Name | Rosecrance |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2704 N Main St, Rockford, Illinois |
| Authorized Official Name and Position | John Francis Schuster (CFO) |
| Authorized Official Contact | 8153875642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance 1021 N Mulford Rd Rockford IL 61107-3874 Ph: (815) 387-1000 | Rosecrance 2704 N Main St Rockford IL 61103-3112 Ph: (815) 968-9300 |
| NPI Number | 1164174140 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164174140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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